MedKoder, LLC

05/23/2026

National Medical Coder Day is a reminder that accuracy in healthcare doesn’t happen by chance...it happens because of skilled professionals who translate clinical care into clear, compliant and defensible data.

Medical coders play a critical role in reimbursement, compliance and the integrity of the healthcare system. Their expertise ensures that every diagnosis and procedure tells the right story.

Today, we recognize the impact coders bring every day, and we extend a special thank you to our MedKoder team. Your commitment to excellence is what sets the standard and drives real results for our clients.

Thank you for the work you do to keep healthcare moving forward 👏

05/14/2026

The OIG found 22 out of 24 audited cases didn’t support Modifier 25.

At that point, it’s not a documentation issue...it’s a system failure.

This level of inaccuracy doesn’t happen randomly. It’s usually the result of:
🔹 Edits driving decisions instead of documentation
🔹 Productivity pressure overriding clinical judgment
🔹 Processes that prioritize speed over defensibility

And here’s the part that creates real exposure: The claims were paid.

But payment isn’t validation, it’s just timing. When audits happen, that’s when the truth surfaces.

This is how organizations end up facing recoupments, compliance findings and avoidable risk.

Fixing this isn’t about retraining one coder. It’s about correcting the process that allowed it to scale.

If Modifier 25 is being applied broadly without consistent support, the question isn’t “who made the mistake?” ... it’s “why is the system allowing it?”

05/13/2026

MedKoder is proud to announce we’ve been named one of the Best Places to Work in Healthcare by Modern Healthcare for the 10th consecutive year!!

A decade of recognition at the national level is no small achievement. This award evaluates benefits, compensation, culture and, most importantly, direct employee feedback. Being named to the top 100 vendors again is an honor.

Most importantly, this milestone belongs to our team. The people of MedKoder are what make this such a strong, supportive and high-performing workplace.

Congratulations to our employees for building something truly special!

Modern Healthcare will reveal the ranked order Sept. 16 at the Best Places to Work in Healthcare Awards Gala.

05/12/2026

Modifier 25 shouldn’t be this complicated, and yet it continues to create compliance risk.

In a recent article published by NAMAS, our own Angela Clements breaks down why the “drama” around modifier 25 hasn’t gone away.

Here’s what stands out:
🔹 Modifier 25 is often applied based on system edits, not documentation
🔹 Productivity pressure is driving shortcut coding behavior
🔹 Audits continue to show that most sampled cases don’t support its use

And the biggest misconception?
Getting paid doesn’t mean the claim was correct or defensible in an audit.

This is exactly where organizations get exposed.

If your team is relying on automation or speed without validation, it may be time to take a closer look. Contact our team at support@medkoder.com.

Read the full article:
https://namas.co/modifier-25-the-drama-never-ends/

05/07/2026

If your coding technology was designed 15-20 years ago, is it truly supporting today’s healthcare environment?

Modern coding teams face:
🔹 Increasing documentation complexity
🔹 Expanding regulatory requirements
🔹 Productivity pressure
🔹 Audit scrutiny
🔹 Multiple disconnected systems

Yet many organizations are still relying on static tools built for a completely different era of healthcare.

At MedKoder, we believe coding technology should continuously evolve alongside the industry.

Reach out to our team at support@medkoder.com to learn how our proprietary technology can impact your team's workflow💡

04/16/2026

While professional coding tells the story of who treated the patient, Facility Coding tells the story of the resources that made it possible.

From the surgical suite and advanced imaging to nursing care and overhead, facility coding is the engine of the hospital’s revenue cycle. It ensures that the high costs of providing a safe, high-tech healing environment are accurately captured and reimbursed.

In a landscape of shifting regulations and complex MS-DRGs, the expertise of a facility coder is what keeps a hospital’s doors open and its operations compliant.

Is your team capturing the full complexity of patient care? MedKoder helps bridge the gap between documentation and appropriate reimbursement.

Contact us at support@medkoder.com to learn how we can strengthen your facility’s financial health.

04/10/2026

There may be an ICD-10-CM code for accidental striking against or bumping into another person (W51.###A), but there isn’t a code for being clumsy with your organization’s reimbursement.

Coding inaccuracies don’t always show up as obvious errors. More often, they appear as missed specificity, incomplete documentation alignment or overlooked risk adjustment opportunities...all of which quietly impact revenue integrity.

A proactive coding strategy helps ensure accuracy, defensibility and full capture of clinical complexity.

Is your organization confident it’s capturing everything it should?

Request a consultation with MedKoder to evaluate opportunities for stronger coding performance and reimbursement accuracy 📨 https://medkoder.com/consultation/

Book a meeting with MedKoder to explore how we can solve your coding, compliance or audit needs.

03/31/2026

The rise of AI in medical coding is undeniable. But as we integrate these tools into the revenue cycle, a critical question remains: Can you trust the output?

Many "black box" AI solutions provide a result without the "why." In a high-stakes environment where compliance, audits and accuracy are non-negotiable, opaque logic is a liability.

Our latest article explores why Solomon BI is changing the game by delivering smarter, safer intelligence.

Don't settle for a black box. Choose intelligence you can verify.

Read the full breakdown here 👇
https://medkoder.com/the-rise-of-ai-in-medical-coding-why-solomon-bi-delivers-smarter-safer-intelligence-than-black-box-ai/

03/23/2026

Many organizations evaluate coding performance based on what’s easiest to measure...accuracy scores and audit results.

But the biggest risks often sit below the surface.

A Comprehensive Coding Assessment helps leadership uncover workflow gaps, documentation challenges, staffing alignment issues and technology limitations before they impact compliance and revenue.

Read our latest article to see what a strategic safeguard really looks like: https://medkoder.com/strategic-safeguard-comprehensive-coding-assessment/

03/18/2026

In the evolving landscape of healthcare reimbursement, a "wait and see" approach to coding compliance is a recipe for disaster. Our latest article dives deep into why a Comprehensive Coding Assessment is no longer optional...it’s a strategic necessity.

A Strategic Safeguard isn't just about catching errors; it’s about empowering your team with the data they need to improve clinical documentation and operational workflows.

Key takeaways:
🔹 How to mitigate risk through targeted audits
🔹 The link between coding accuracy and provider satisfaction
🔹 Strengthening the bridge between HIM and Finance

Check out the full breakdown here: https://medkoder.com/strategic-safeguard-comprehensive-coding-assessment/

Learn why a Comprehensive Coding Assessment is essential for healthcare executives. Gain executive-level visibility, mitigate coding risk, ensure audit defensibility, and prepare for growth or technology migration with actionable insights.

03/17/2026

Legacy coding workflows are leaving health systems vulnerable ⚠️

The "coding lag," the time between patient encounter and final claim submission, is where risk lives. Traditional review processes are often too slow to catch critical errors in HCC or complex DRGs before they become permanent records.

At MedKoder, we believe the solution lies in real-time visibility.

Leveraging analytics at the front end of the coding workflow allows organizations to bridge the gap between clinical documentation and accurate reimbursement. We've broken down the roadmap for implementing these technologies in our latest post.

See how your system can reduce coding risk today: https://medkoder.com/how-health-systems-use-real-time-analytics-to-reduce-coding-risk/